[1]李雅琼,袁国丽.老年突发性耳聋患者听力损失情况及其与血脂水平相关性研究[J].陕西医学杂志,2022,51(7):820-822,827.[doi:DOI:10.3969/j.issn.1000-7377.2022.07.012]
　LI Yaqiong,YUAN Guoli.Hearing loss in elderly patients with sudden deafness and its correlation with blood lipid levels[J].,2022,51(7):820-822,827.[doi:DOI:10.3969/j.issn.1000-7377.2022.07.012]
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老年突发性耳聋患者听力损失情况及其与血脂水平相关性研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年7期
页码:
820-822,827
栏目:
临床研究
出版日期:
2022-07-05

文章信息/Info

Title:
Hearing loss in elderly patients with sudden deafness and its correlation with blood lipid levels
作者:
李雅琼; 袁国丽
(咸阳市第一人民医院,陕西 咸阳712099)
Author(s):
LI Yaqiong; YUAN Guoli
(The First People's Hospital of Xianyang,Xianyang 712099,China)
关键词:
突发性耳聋;  听力损失;  甘油三酯;  危险因素;  高密度脂蛋白胆固醇;  老年人
Keywords:
Sudden deafness;  Hearing loss;  Triglycerides;  Risk factors;  High-density lipoprotein cholesterol;  Age
分类号:
R 764.4
DOI:
DOI:10.3969/j.issn.1000-7377.2022.07.012
文献标志码:
A
摘要:
目的:探究老年突发性耳聋(SD)听力损失情况及其与血脂水平的相关性。方法:纳入收治的老年SD患者189例,测定所有患者的听力损失严重程度,将轻度和中度患者纳入轻中度组,重度和极重度组纳入重度组。比较两组的临床特征、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平。使用二元Logistic回归分析影响老年SD患者听力损失情况的相关因素。结果:189例老年SD患者中,轻度28例(14.81%),中度77例(40.74%),重度65例(34.39%),极重度19例(10.05%)。轻中度组高血压发生率、糖尿病发生率、TG水平、颈动脉斑块(ICAP)发生率均低于重度组,HDL-C水平高于重度组,差异具有统计学意义(均P<0.05)。高血压、糖尿病、TG、ICAP均为影响老年SD患者听力损失程度的危险因素,HDL-C为保护性因素(均P<0.05)。结论:合并高血压、糖尿病、高TG水平、ICAP的老年SD患者听力损失更为严重,高HDL-C水平为老年SD患者听力损失的保护性因素。
Abstract:
Objective:To explore the hearing loss in elderly patients with sudden deafness(SD)and its correlation with blood lipid levels.Methods:A total of 189 elderly SD patients were included.The severity of hearing loss was measured in all patients.Mild and moderate patients were included in the mild-moderate group,and severe and extremely severe patients were included in the severe group.Clinical characteristics,triglyceride(TG),high-density lipoprotein cholesterol(HDL-C),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C)levels were compared between the two groups.Binary Logistic regression was used to analyze the factors associated with hearing loss in elderly SD patients.Results:Among 189 elderly SD patients,28(14.81%)were mild,77(40.74%)were moderate,65(34.39%)were severe,and 19(10.05%)were extremely severe.The incidence of hypertension,diabetes and ICAP,and TG level in the mild-moderate group were lower than those in the severe group,and the HDL-C level was higher than that in the severe group(all P<0.05).Hypertension,diabetes,TG,ICAP were all risk factors affecting the degree of hearing loss in elderly SD patients,and HDL-C was a protective factor(all P<0.05).Conclusion:Elderly SD patients with hypertension,diabetes,high TG level,and ICAP have more serious hearing loss.High HDL-C level is a protective factor for hearing loss in elderly SD patients.

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备注/Memo

备注/Memo:
基金项目:陕西省卫生健康科研基金资助项目(2018D096)
更新日期/Last Update: 2022-07-05